Mrs Mae D Johnson, FNP | |
1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 | |
(706) 226-3139 | |
(706) 278-6606 |
Full Name | Mrs Mae D Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 39 Years |
Location | 1107 Memorial Dr, Dalton, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912905464 | NPI | - | NPPES |
000670326B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | RN027354 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hamilton Home Health | Dalton, GA | Home health agency |
Hamilton Medical Center | Dalton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cornerstone Medical Group Pc | 3971575390 | 7 |
Entity Name | Cornerstone Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275515967 PECOS PAC ID: 3971575390 Enrollment ID: O20040806000991 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mae D Johnson, FNP 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 Ph: (706) 226-3139 | Mrs Mae D Johnson, FNP 1107 Memorial Dr, Suite 300, Dalton, GA 30720-8662 Ph: (706) 226-3139 |
Tina Gossett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Shugart Rd, Dalton, GA 30720 Phone: 706-270-5107 | |
Carol Lawrence, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-259-4435 Fax: 706-226-2283 | |
Karen Lolley, NP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721 Phone: 706-229-9709 Fax: 706-229-9779 | |
Ralph Weaver, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-259-4435 Fax: 706-226-2283 | |
Rick Gordon, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-259-4435 Fax: 706-226-2283 | |
Marla Burns, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Shugart Rd, Dalton, GA 30720 Phone: 706-270-5100 Fax: 706-270-5066 | |
Mrs. Deloris Ann Hefner, N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 218 N Fredrick St, Dalton, GA 30721 Phone: 706-529-3643 Fax: 706-374-7628 |